HomeMy WebLinkAbout08-7248
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7248
Permit Number: 7248
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5009 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-2088-0060
11/29/2007
25.00
25.00
11/29/2007 Phone:
6 MTH HOOD SUPPR ANNUAL-PARSONS ICE CREAM
Name: PARSONS, ROBERT & NANCY
Address: 202 S PARSONS AVE
ZEPHYRHILLS, FL. 33542
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FIRE LIGHT TEST-Final
FIRE SYSTEM ACCEPTANCE Fina
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review, administrative fees, and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
/~-4Y~ .....
/ co CTORSIGNATURE P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPEcnON
CALL FOR INSPEcnON - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
Date Reoeived
ITl--'-9 ---0'4
City of Zephyrhills Fire
Permit Application
~ 1 vrfb
I I
RB II 715 II 9621 I
II II
Contact Phone Nbr
Parsons Ice Cream
Owner Phone
Owner Name
Owner Address
5009 GALL BLVD,
Fee Simple Title Holder
I Titleholder Phone Nbr
Fee Simple Titleholder Address
Job Address 15009 Gall Blvd
Subdivision
n Bio-Hazard Waste Storage - ANNUAL
D Comm Exhaust Kitchen Hood - Duct
D Controlled Bum
D Emergency Generator <30 KW
D Emergency Generator> 30KW
~ Fire Protection Maintenance - Annual
D
D
Hood Clean - Suppression D
F ire alarm Installation
Sprinkler
Fire Alarm
D
D
D
D
D
D
Fire Pums
Fire Works
Flammable Application un Annual
Fuel Tanks
Lot Nbr.
Parcel ill
D
D
D
D
D
D
Fumigation Tent
Hazardous Material (Tier 11 or RQ Facility) Annual
Hood Installation
LP un Natural Gas Installation
LP un Natural Gas Annual Sale
Places of Assembly - Annual
B
B
B
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes ( Sprinkler System)
Torch Roofmg
Waste Tire Storage Annual
Value of Project
$1 I
Other: I
Contractor Sign I Company
Address I Registered y N I Fee Current I
Electrician Sign. License
Company
Address I I Fee Current I
Registered y N
Plumber Sign License
Address I Company
Mechanical I Registered y N I Fee Current I
Address L"c/3'~ License
Other Sign Company
Address I 18330 Lawrence Rd, Dade City, FI Registered y N 1 Fee Current I I
License
Directions:
Fill out application completely. Company Security Fire Equipment, LLC
Owner & Contractor sign back of application, notorize ( Or signed ~-I I Fee Current I Y6 oS
Copy of contract with owner) (j) N
If over $2500,00, a Notice of Commencement is required
Mechanical work of ( $5000,00 ) requires a Notice of Commencent 502552000220004
Supply two (2) sets of drawings with applicable documentation
Allow 10 .- 14 days for review after submittal date,
NOVI2812007/WED 01 :56 PM ZEPHYRHILLS BUILDING
FAV No ol~-ryon_nrnLl
l'\J. . './ _J J '...IIJ :..''':
F. 002
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..N01;u;e.Ci>>F,tJeO:RESTRICOONS; !fhe'.underSigned .understandEi:that thIs..permlt may'b8.:subjeot to '!a'aed" restrictions"
.Whlch mS:Y'1;,e.,monnestrictive'.than:CriumY regulaUons. "1lI8.undersigned 'BSSl:Jl'nE!tS 'l'esponsibillty'fOr .cotn~iance With aJiy ,
applicablE1'daed reslrictlena. . .' : '. . . , ' ,'. -" .
'UNLlCEN:SEO . CONTRACTORS ,>>&0 .CON1RACToOR ,RESPONSIBlLmE&: .If 'the. owner has hIred.'8 contractor ,or
con~ctor8. to undertake Work,"tJ:tey'may be ~ired'~D':,bfj Bc:ensed ~ aceor.d~, ~th -Sm. :and ,local, ~aftons. if the '
con~I' IS not ~C4!lO~.as requ~red by faw, both the.ownBI",~ conlrBctDr.~ ,be.cIted for.a'.mlidemttanor VIolation ','.
urider state law: If:the owner or IntendeCI contJ:BolDr BAt uncertain ~ to .what Ik.;ensiog'-requtremenis m8y, apply for the .
Intended work.1hey are advised to co~,the Pasco ~ Building InspectionDlvlaion-lioBhaing ~n at 121-84.7- .
8009. 'Furthennore. if the owner has .hlred a.~ or contractors, he is :adv~ to have the ciQ~r(s) sign .
, portions.Of the .COlflr~ .B!ocI(.of,~ :aPP.Ifc?aU~n for whiCb they w1II be f'Il8POJU'lbIe. 1f}'CU. as the ~ sign .s'the '
contractol~,-that.maybe an 1ndicatlori:that he is not properfy llcensed.-Jd is notentitledio ~'prl.vlleges'in PBsC'o .'
County. . . ' , ,,' " ' ."," .' , .
CONSTRucnOH'Uan.AW (Chllpter713, 'FIortchi StBtut.s, as amend"): 'If:'laluatlon.ofwork is:$2.500.00 or mO~'" :
certifY thiat 'I. !he applicant. have' been ~VIded w1~. a copy. of' the ' ~JOrida 'COnstrUctIon', Uen Law-:-H~'s '
Protection 'GuldeB pnepBrad by tIie 'Florida- 'Department rJf AgrICulture and Consumer AffaIrS. If the applicant is someone
other tharrthe IICM1181"'. I.certify that.. have o6tBtned a copy of the aboVe (feScrfbed 'document .,promise In goOd faith to'
. deliVer It to,the -owner" prior to <<nnmencemenl " - -" ',' -' ':. ' , . '. .
._ . CONTRACTOR'SIOWNER'S AFFlDAYrr: ,,1 certify that au. the information in ttt.; aP.PlcallOn is'accurate and .
, ..., -.. ,.:. :that. all.work -wit be -.ne m. oomJlllance.witti-alJ.-eppllca~'~ -retJUI~~nStnictlDrt,--.ieRmu,:aAd-l8Ad...,.:--
. development. ApplicatIon is her8by made to obtakl 8 permit to do work and inStallation as lnClIcated. I certify . "
that no work- or In~n has commenced pri9r to Jssl.!ancie of a.pannit,and that ad work.. be ~Qrme.d to
. meet sblndards d 811 ,laws regulating ~on.' County 8nd CIty codes, zoning i'egUJatIons, and ,land"
develop.m,nt regula1ione .in the jurisdIctioQ. I ~ certify:that I understand that the regulations of other.
government agencies may apply to the Intended work. arid that ~ 1$ my JeSponslbllty 1D.~tIfy wtllit actions I ,'.
, . muat.1ake to be In compliance. ' . . . '. '" , ..
If I am "the ~NT FOR. THE OWN~" I ~ in pd faith to inform -the ~. of the permitting '9O"ditions sel forth,ln'
.this aflidaVIt Prior .J.Jj, com~nciRg construotion. I ~ersfand that . separate P!Mmit may -be raqWred for.eIedrtcaI. work.
plumbing; signs; weJI8. :pools; air oonditionlr1g, oas. at: ottier i~Uons not ,peciflcaIly.ipcluded in the appliGatkm. A
. ~mlt~e.d,~II:~ ootisjrued tQ be a11cens& to.proba8d-wIth the ,work and not ~ ~ to violate, canJ:8l. 81.. or
sel,JilkJit aOY ~JUiW~QS of the technICal codes, nor 8haIIIssuance of. permit ~ the Bulding ~ from, thereafter
. requ"'rtg.a~tion of erroi's In p~ns, construction or ~ns of any codes. Ever)' permit is8Ued ahall bedome.lnvalid
, .i.inl_1tiit-:;)Y.QiI(~'1>y sUoh .permit Is' convnenced Within 'six ~ of ~~'~. or if ~ authorized W '.
, " ,t~;~.:isJ~jijIrid.$l or 8bar1doned for a perioctof six (6) months after the ~ the work Ie ~. ,~extenslon '
. 'fA~ Feq~ested.,in.writing, from the Building OfticIal.for a ~ not to ~ ninety {~)..daya ~'.wUl de!"onBtrate
,~.. Ciii.tSe far tt1e extBnsion. If work ~, for ninety (90) consecutNe days. the job Is Oonal~ abandoned. '
. ., ".' __~ . r .. . "'; . . ,.
. wAffNiNG :ro OWNER: YOUR t=ALURE TO RECORD A NOTICE OF COMMENCEMeNT MAY RESULT IN YOUR
. PAYINGTWlCeFOR~p~TO.:rr~~~~~~~~N~lfI:.T' ,
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